Organization
LIBERTY RESIDENTIAL SERVICE, LLC
Active
Other names
Liberty Home Care
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SALAH FATAH (ADMINISTRATOR)
(240) 281-8084
Entity
Organization
Contact information
Practice address
13801 BROWN BRANCH RD, LAUREL, MD 20707-4906
(240) 281-8084
(240) 399-5079
Mailing address
13801 BROWN BRANCH RD, LAUREL, MD 20707-4906
(240) 281-8084
(240) 399-5079
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
R4005P
MD
Other
Enumeration date
11/17/2016
Last updated
11/17/2016
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